Birth Support Doula

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

BIRTH SUPPORT DOULA

Practice address

4394 Lateener LN
Blaine, WA 98230-9151

Phone

(360) 708-7830

NPI assigned

Oct 30, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Savannah Young

Title

Birth Doula

Phone

(360) 708-7830

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1992100069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4394 LATEENER LN",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4394 LATEENER LN",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309151",
            "telephone_number": "360-708-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH SUPPORT DOULA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_title_or_position": "BIRTH DOULA",
        "authorized_official_telephone_number": "360-708-7830"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Doula in Blaine, WA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.